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HomeMy WebLinkAboutJacqueline Hamilton 102720149 Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989) CANDIDATE t OFFICEHOLDER FORM CtOH CAMPAIGN FINANCE REPORT [] IGINAL COVER SHEET PG 1 1 ACCOUNT# 2 Total pages filed (Ethics CommIssion Filers) The e/OH Instruction Guide explains how to complete this form. OFFICE USE ONLY Date Processed (0 ·1.-1· I Y Dale Imaged fO-2-7·,4 ZIP CODE TREASURER ADDRESS 7 CAMPAIGN 7 J 1J7i (residence or business) PHONE NUMBER EXTENSION TREASURER 8 CAMPAIGN 731 5.13'{PHONE REPORT TYPE 15lh day after" campa'gnD DJanuary 15 30th day before election RunoffD D lreasurer appointm~ (officeholder only) W D JUly 15 err 8th day before election Exceeded $500 Final report (Altach CIOH . FR)D D ~ limit 10 PERIOD Day Year COVERED THROUGH£/.20/'-1 ELECTION TYPE11 ELECTION ELECTION DATE. Month Day Year Primary SpeaalD DRunoff cz('General DII/ d 1/.2 dIf· OFFICE HELD (if any)12 OFFICE GO 'TO PAGE 2 Revised 07/28/2014 www.ethics.state.tx.us Texas Ethics Commission PO. Box '12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) CANDIDATE IOFFICEHOLDER REPORT: FORM C/OH SUPPORT & TOTALS COVER SHEET PG 2 14 CtOH NAME 16 NOTICE FROM POLITICAL COMMITTEE(S) n 15 ACCOUNT # (Ethics Commission Filers) lHlS X IS FOR NOTICE OF POunCAL CONTRIBUTIONS ACCEPTED OR POUTICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT lHE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR CONSENT. CANDlDATl'S AND OFFICEHOLDERS ARE REQUIRED TO REPORT lHlS INFORMATION ONLY IF lHEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE NAME COMMITTEE TYPE ~ +­ aD GENERAL --4 N COMMITTEE ADDRESS D SPECIFIC -.J " COMMITTEE CAMPAIGN TREASURER NAME ao additional pages <..J COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL FOLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS). UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF REPORTING PERIOD OUTSTANDING 6. TOTAL pqlNCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 18 AFFIDAVIT r. $ $ $ 3 '73. j}] ROGELIO MEZA My Commission Expires December 6. 2017 Signature of Candidate or Officeholder AFFIX NOTARY STAMP I SEAL ABOVE Sworn to and subscribed before me, by the said _~~~e~h.!Jt(J,:S--~BIi<........!/Ic....:..::C<.!::"",:........~/~/..!.~..:p...:Y)...J- ' this the , 20 _'----'.'-1__ , to certify which, witness my hand and seal of office.day of o,.fo~tr Title of officer administering oath www.ethics.state.tx.us Revised 07/28/2014 Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989) 9 Principal o=upation I Job title (See Instructions) Employer (See Instructions) POLITICAL CONTRIBUTIONS SCHEDULE AOTHER THAN PLEDGES OR LOANS L 1 Total pages Schedule A: iThe Instruction Guide explains how to complete this form. 3 ACCOUNT # (Ethics Commission Filers) 7 Amount of I 8 In-kind contribution contribution ($) I description (if applicable) I I I (If travel outside of Texas, complete Schedule n Date Full name of contributor 0 OUI-<lf-slale PAC (1D#: --1) Amount of I In-kind contribution ~ I, '" W~) 1\0 .'A-l../' contribution ($) I description (if applicable) I"~~rr;i~~~; ~.,... So 0 iZOp Coo. Ia""11 \"./j, IIf travel outside of Texas, comolete Schedule Tl Principal occupation I Job title (See Instructions) I Employer (See Instructions) Amount of I In-kind contribution contribution ($) I description (if applicable) Date ISV, I' .. I (If travel outside of Texas, complete Schedule T) Princje>aj qccupation I Job title (See Instructions) Employer (See Instructions) tt17.... {Y\l .. I Amount of In-kind contributionIDate contribution ($) I description (if applicable)1:~~j,0~ol:~O"'''j f,,";;;"" ~C,,~ ......... .­ Contributor address; City; State; Zip Code n20. I I C> ---4 I :::] (If travel outside of Texas, comolete Schedule T) Principal occupation I Job tiUe (See Instructions) Employer (See Instructions) -0 I ::rt Amount of I In-kind contribution •• contribution ($) I description (if applicabl€ij) W Date Full name of contributor o Oul-<lf-Slale PAC (ID#: ---') Contributor address; City; State; Zip Code I I I {If travel outside of Texas comolele Schedule n Principal occupation I Job title (See Instructions) Employer (See Instructions) I ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-stat~ PAC, please see instruction guide foradditional reporting requirements. www.ethics.state.tx.us Revised 07/28/2014 Texas Ethics Commission po. Box 12070 Austin. Texas 78711-2070 (512) 463-5800 (TOO 1-80Q...735-2989) POLITICAL EXPENDITURES SCHEDULE F[J EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense GifUAwards/Memorials Expense Salaries/Wages/Contract labor loan Repayment/Reimbursement Accounting/Banking legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above) The I nstruction Guide explains how to complete this form. 6 8 PURPOSE OF EXPENDITURE (a) Category (See categories listed at the top of Ihis schedule) AJv0'J: Gt. ~~J~ 3 ACCOUNT # (Ethics Commission Filers) 9 Complete ONLY if direct expenditure to benefit C/OH Candidate I Officeholder name Office sought Office held Date }7) PURPOSE OF EXPENDITURE A Category (See cat"gone t:Lb\A f'J+.o/'l t sted at the top of this scheduie) ~(\k,,~ ~ft~~/~trar;~~as;Ji~~eff%~)1"41) o Check if Austin, TX, officeholder living expense Candidate I Officeholder name Office sought Office heldComplete ONLY if direct expenditure to benefit C/OH 35· 7733 Payee name . CI«n. <. Amount Payee address; City; State; s PURPOSE OF EXPENDITURE Category (See cate,ories lisled at the top of this schedule) Descriftion (if trav I oulside of Texas, complete Schedule T) 11 vu 'J, ~11~o Checl<ifAustin, TX, Ifi holder living expense Can Office sought Office heldComplete QN!.X if direct expenditure to benefit C/OH Candidate I Officeholder name Amount ($) / Des~; la~;e;kas.1:P' ~edUleT)PURPOSE OF EXPENDITURE o R';'I<ifAustin, TX, Officeholde~~'expense Office sought Office held :..:: expenditure to benefit C/OH Complete Qlli.1' if direct ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Revised 07/28/2014www.ethics.state.tx.us Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989) , POLITICAL EXPENDITURES Do I L SCHEDULE F . EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Gift/Awards/Memorials Expense SalarieslWages/Contract Labor Loan Repayment/Reimbursement Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee -Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F: 2 FILER NAM~, ' ~ ( ~(.l:\ IA J.o.AJ I l .'.1' C-Jj~tfWl ~~ 13 ACCOUNT # (Ethics Commission Filers) ")- 4 07 i / Ya I> i I.j 5 Payee nJ/J ~(flue. '~rf ,0 GMRtt,')tr\' Ikd, 6 Amount ($j 7 Payee address; t./ City; Slate; "Eip ctde 3, 8 PURPOSE (.J C~~";'";:?f;1 (b) Description (lf~1 outs~ofk'complele Schedule T) OF J"~ -<-<-EXPENDITURE ~"" \""-~ D Check if Austin, TX. officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name J Office sought Office held expenditure to benefit C/OH Date/OIl I,;"~ JI, Payee namy&\,f' I~ J:41\ (nltJIV Amount ($) paYe;jiZ / fjCit vl ze; I-?f-Zip Code 133.2D &t'/~£ 1/~ l/I) '7 ~L PURPOSE 1J~;"r;~''"G'":;'::'''"''' DeSCriPti~ :tra~~utside of Texas. complete Schedule T) OF EXPENDtTURE o Check if~;2in, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder rUme Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T) OF EXPENDITURE o Check ifAustin, TX. officeholder living expense Complete Qlli.Y if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH -~ Date Payee name ~ f'.: Amount ($) Payee address; City; State; Zip Code -..I ~ ~.. Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T) QPURPOSE OF Co.) o Check If Austin. TX. officeholder living expense .---EXPENDITURE Complete QM.L.Y if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.us Revised 0712812014 Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989) POLITICAL EXPENDITURES fl SCHEDULE GMADE FROM PERSONAL FUNDS "- L EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan RepaymenUReimbursement Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Travel In District ContributionslDonations Made By Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 13 ACCOUNT # (Ethics Commission Filers) FILER NAM:GtGt JJ~ ],,\.• J<. ))t{ ~/ItJ'-i 41~t/ 1/:;" 6 7~ 5 ~e;:be~ JIIc I 7 Payee address; jity ; ~tate; Zip Code6 Am~nJ (?-6 J })', Wn:v.u~ V....-...o[l2J Reimbursement from political contributions intended f~/ 11 A},t\\ :J'\'(>AA'~~ 9'-13 0 J ~ /" a [ (a) Category (See cat,,~es listed at the top of Ihis schedule) ule OF 8 PURPOSE ~) DjC::OjJ:r ou;~ OfTr; c:~t~e:r; T) EXPENDITURE AJu e-J,j')~ -G~C~J (., o Check itAustin, TX, officeholder living expense Payee nameDate Amount ($) Payee address; City; State; Zip Code 0 Rermbursement from political contributions intended Category (See cat"gories listed at the top of this schedule) Description (If travel oulside of Texas, complete Schedule T)PURPOSE OF EXPENDITURE o Check if Austin, TX, officeholder living expense Payee nameDate Amount ($) Payee address; City; State; Zip Code Reimbursement from 0 political contributions intended Category (See categories listed at the top of Ihis schedule) Description (If Iravel outside of Texas, complele Schedule T)PURPOSE OF EXPENDITURE -Check ifAustin, TX, officeholder living expen~0 Payee name ~ N Date -.J Amount ($) Payee address; City; State; Zip Code -0 ::r o Reimbursemenl from --. political contributions 0inlended Description (If travel outside ofTex~omplete ~edule T)Category (See cat,'gories listed allhe lap of thiS schedule)PURPOSE OF EXPENDITURE o Check ifAustin, TX, officeholder living expense ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.us Revised 07/28/2014